It’s all about your deductible.
Remember, a deductible is how much you have to pay out of your own-pocket before insurance pays anything. The average deductible is $1,500. If you haven’t yet spent your entire deductible, insurance won’t pay for any kind of doctor visit, whether it’s via Sherpaa or at an urgent care center. At a traditional office visit, urgent care center, or ER, they’ll charge you a co-pay. If your deductible hasn’t been met, your co-pay is how much it costs to simply leave your doctor’s office. They will bill you way more a few weeks later, up until you’ve spent your entire deductible. And you’ll have no idea how much they’ll bill you until you get the bill. Sherpaa’s different. It’s a known, fixed cost with no surprise bills. If you’re the type of person who absolutely knows you’ll spend all of your deductible, you’d join Sherpaa just for the convenience of our care. But if you’re not a huge spender, like most of us, read on.
What are your chances of spending your entire deductible?
If your deductible is $1,000: 70% chance of not spending all $1,000
If your deductible is $3,000: 80% chance of not spending all $3,000
If your deductible is $5,000: 90% chance of not spending all $5,000
70% of people spend less than $1,000 a year on doctor visits, medications, and other things that all add up and count toward your deductible.
And if you do spend your deductible, it’s often because you literally had one expensive thing that year, like a trip to the ER, or a broken arm, or you needed an MRI.
How can you check your deductible and how much you’ve spent toward it?
Either join Sherpaa and we can check for you or visit your health insurance website, log in, and they should be able to show you how much you’ve spent toward your deductible. Here’s an example:
So why don’t insurance companies like/cover Sherpaa?
Insurance companies only cover in-person office visits and procedures and Sherpaa does not see you in an office. They’re the ones dictating how you must interact with doctors. Essentially, they’re doing everything they can to lock you in to the status quo and control your entire situation.
This practice stifles innovation and competition because you can only spend on approved, in-network services. And doctors and hospitals are still billing as if you have no deductible and insurance companies are paying everything for you. For example, a radiology center is not competing with others based on price and billing you a smaller amount because you haven’t yet spent your deductible. They’re billing you the same ridiculously high amount they’d bill your insurance company.
We think that’s not fair, especially when you have to spend your own money on care before they start paying your bills. You should be able to spend your money as you wish on innovative services that offer value to you.
Sherpaa wants to protect you from the System
Sherpaa wants to give you the best, most convenient care, and protect you from an opaque system that’s trying to extract as much money from you as possible. Here’s how we do that:
- Unlike anything else anywhere, your doctor is accessible and available to you within ~12 minutes, on average. Having an accessible doctor is the best way to prevent spending your money on unnecessary urgent care and ER visits.
- We charge one rate and you can use us as much as you need. We remove the incentives found in traditional insurance settings where doctors get paid more for doing as much as they can for you/to you.